Provider Demographics
NPI:1376776229
Name:FALANGA, KRISTEN DIANE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:DIANE
Last Name:FALANGA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BRITTANY FARMS RD
Mailing Address - Street 2:APT #130
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-1265
Mailing Address - Country:US
Mailing Address - Phone:570-350-3280
Mailing Address - Fax:
Practice Address - Street 1:105 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-1859
Practice Address - Country:US
Practice Address - Phone:860-356-0057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037872122300000X
CT10384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist